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Sample Record for 2019-04-11-1

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Project Information

Project ID: 213002 DEA: 042640N4 EFIS: 0412000649 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5
Work Description: CONSTRUCT HOV LANES
Location Description: MARIN AND SONOMA COUNTIES IN AND NEAR PETALUMA FROM 0.6 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE TO 0.3 MILE SOUTH OF EAST WASHINGTON STREET OVER CROSSING
Contractor Name: GHILOTTI CONSTRUCTION COMPANY
Contractor Address: 2301 Kerner Blvd Ste. E, San Rafael, CA 94901
Resident Engineer: Hal Streater Structure Rep.: Brian Beaudoin

Sample Information

DIME Sample ID: 2019-04-11-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 04/11/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2019
The quantity of what the sample constitutes: 2 bars per heat
A brief description of the sample: #10 Grade 75 Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: 10
Nut Specification for Threaded Bar: ASTM A897
System Manufacturer: DSI
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): 6214748602, 6214820302
Nut Heat Number(s): N/A
Bar Lot Number: N/A
Nut Lot Number: L198
Coupler Heat Number(s): N/A
Coupler Grade: Unknown

Test Results

Test 1 of 4

DIME Test ID: 2019-04-11-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/16/2019
Date Tested: 04/16/2019
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A615 Bar & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
1DSI #10 Bar Heat #6214748602, Nut Lot #L198L110043191.271169377770516.2A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 4

DIME Test ID: 2019-04-11-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/16/2019
Date Tested: 04/16/2019
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A615 Bar & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
2DSI #10 Bar Heat #6214748602, Nut Lot #L198L110043191.27116965779520A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 3 of 4

DIME Test ID: 2019-04-11-1-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/16/2019
Date Tested: 04/16/2019
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A615 Bar & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
3DSI #10 Bar Heat #6214820302, Nut Lot #L198L110043191.271128867601817.3A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 4 of 4

DIME Test ID: 2019-04-11-1-4
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/16/2019
Date Tested: 04/16/2019
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A615 Bar & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
4DSI #10 Bar Heat #6214820302, Nut Lot #L198L110043191.27112591764760A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.